Diagnosis and management of Müllerian adenosarcoma of the uterine cervix.
Int J Gynaecol Obstet
; 121(3): 229-32, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23490428
ABSTRACT
OBJECTIVE:
To report on the diagnosis and management of Müllerian adenosarcoma of the uterine cervix at a gynecologic oncology unit in Singapore.METHODS:
Nine cases (1992-2008) were identified from the unit registry. All hospital records were retrospectively analyzed.RESULTS:
Mean age at diagnosis was 45±12 years (range, 17-61 years). Presenting symptoms were abnormal vaginal bleeding (5 [55.6%] patients), introital mass (3 [33.3%] patients), and foul-smelling vaginal discharge (1 [11.1%] patient). Two (22.2%) patients were asymptomatic, with cervical polyps discovered incidentally on routine gynecologic check-up. All women had benign-looking cervical polyps and underwent polypectomy. Histology showed increased stromal cellularity with periglandular cuffs in all patients, and heterologous differentiation in 1(11.1%) patient. All 9 women had FIGO stage 1B disease. Seven (77.8%) patients underwent radical hysterectomy with bilateral adnexectomy and pelvic lymphadenectomy. One (11.1%) woman underwent cervical wedge resection and 1 (11.1%) refused definitive surgery. There was no recurrence in the 6 patients for whom complete follow-up data were available.CONCLUSION:
Clinical diagnosis of Müllerian adenosarcoma of the uterine cervix may be challenging owing to the benign gross appearance of the cervical polyps. Surgery provides a good chance of cure with no recurrence.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pólipos
/
Neoplasias Uterinas
/
Adenossarcoma
/
Histerectomia
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
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Adult
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Female
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Humans
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Singapura